Current through Vol. 42, No. 1, September 16, 2024
(a) While performing with a licensed
ambulance service and/or a certified emergency medical response agency,
emergency medical personnel shall perform authorized procedures, which may not
exceed the level of license or certification.
(b) Each licensed ambulance service and/or
certified emergency medical response agency shall have a physician medical
director who is a fully licensed, non-restricted doctor of medicine (M.D.) or a
doctor of osteopathy (D.O.) in the State of Oklahoma. Medical direction for a
certified emergency medical response agency shall be provided by or approved by
the sponsoring licensed ambulance service. The Department shall be notified
within twenty four (24) hours of any lapse of medical direction by the
respective agency.
(1) The physician medical
director of an air, ground, specialty care ambulance service and/or emergency
medical response agency based in another state shall not be required to be
licensed to practice in the State of Oklahoma, but shall be fully licensed in
good standing in the home state of that air, ground, or specialty care
ambulance service and/or certified first response agency.
(2) The physician medical director for an
ambulance service and/or emergency medical response agency operated by the
federal government shall be fully licensed in good standing in Oklahoma or
another state. If not licensed in Oklahoma, the physician shall be actively
employed by the federal agency responsible for the operation of the ambulance
service or emergency medical response agency.
(c) The physician director shall:
(1) Demonstrate appropriate training and
experience in adult and pediatric emergency medical services. Demonstrated
training and experience may include appropriate board certification approved by
the Department or successful completion of training programs such as Advanced
Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and
Advanced Trauma Life Support (ATLS), Advanced Disaster Life Support (ADLS) or
other equivalent training.
(2) Be
familiar with the design and operation of pre-hospital emergency medical
services systems, and knowledgeable about the capabilities of the different
levels of licensed personnel and of the established protocols.
(3) Have experience in the emergency
department management of the acutely ill or injured patient(s). In the rural
setting, the physician shall routinely and actively participate in the care for
acutely ill or injured patient(s).
(4) Be knowledgeable and actively involved in
quality assurance and the educational activities of the emergency medical
technician, and supervise a quality assurance (QA) program by either direct
involvement or appropriate designation and surveillance of his responsible
designee. The QA program, or policy, shall be submitted with treatment
protocols for approval by the Department. The Department may require quality
assurance documentation for review, and shall protect the confidentiality of
that information.
(5) Have
knowledge and a relationship with the licensed ambulance service(s) and/or
certified emergency medical response agency(ies) and their primary service area
coverage. A physician may be the medical director for more than one (1)
licensed ambulance service and/or certified emergency medical Response
agency.
(6) Provide a written
statement, to the Department, which includes:
(A) Agreement to provide medical direction
and establish the standard of care provided by the service;
(B) Regular mail and email
addresses;
(C) An Oklahoma Bureau
of Narcotics and Dangerous Drugs (OBNDD) number or appropriate state
equivalent;
(D) Current medical
license;
(E) A curriculum vitae,
and be actively involved in pre-hospital care.
(7) Develop medical protocols for patient
care techniques, both on-line and off-line standing orders and present written
EMT Intermediate, and EMT Paramedic life support protocols to the Department
for approval, before use. Protocols shall include medications to be used,
treatment modalities for patient care procedures, and appropriate security
procedures for controlled and dangerous drugs.
(8) List all medications with quantities to
be carried on each emergency vehicle.
(9) Participate in the statewide emergency
medical services system.
Added at 8 Ok Reg
3143, eff 7-18-91 (emergency); Added at 9 Ok Reg 1495, eff 5-1-92; Amended at
11 Ok Reg 3843, eff 7-11-94; Amended at 17 Ok Reg 392, eff 11-1-99 (emergency);
Amended at 17 Ok Reg 2948, eff 7-13-00; Amended at 18 Ok Reg 2501, eff 6-25-01;
Amended at 22 Ok Reg 2418, eff 7-11-05; Amended at 24 Ok Reg 1991, eff 6-25-07;
Amended at 26 Ok Reg 1498, eff 6-11-09
